Matching Items (4)
Filtering by
- All Subjects: Distracted Driving
- All Subjects: Human Factors
- Genre: Doctoral Dissertation
- Creators: Cooke, Nancy J.
- Creators: Gray, Dr. Rob
- Resource Type: Text
- Status: Published
Description
Preoperative team briefings have been suggested to be important for improving team performance in the operating room. Many high risk environments have accepted team briefings; however healthcare has been slower to follow. While applying briefings in the operating room has shown positive benefits including improved communication and perceptions of teamwork, most research has only focused on feasibility of implementation and not on understanding how the quality of briefings can impact subsequent surgical procedures. Thus, there are no formal protocols or methodologies that have been developed.
The goal of this study was to relate specific characteristics of team briefings back to objective measures of team performance. The study employed cognitive interviews, prospective observations, and principle component regression to characterize and model the relationship between team briefing characteristics and non-routine events (NREs) in gynecological surgery. Interviews were conducted with 13 team members representing each role on the surgical team and data were collected for 24 pre-operative team briefings and 45 subsequent surgical cases. The findings revealed that variations within the team briefing are associated with differences in team-related outcomes, namely NREs, during the subsequent surgical procedures. Synthesis of the data highlighted three important trends which include the need to promote team communication during the briefing, the importance of attendance by all surgical team members, and the value of holding a briefing prior to each surgical procedure. These findings have implications for development of formal briefing protocols.
Pre-operative team briefings are beneficial for team performance in the operating room. Future research will be needed to continue understanding this relationship between how briefings are conducted and team performance to establish more consistent approaches and as well as for the continuing assessment of team briefings and other similar team-related events in the operating room.
The goal of this study was to relate specific characteristics of team briefings back to objective measures of team performance. The study employed cognitive interviews, prospective observations, and principle component regression to characterize and model the relationship between team briefing characteristics and non-routine events (NREs) in gynecological surgery. Interviews were conducted with 13 team members representing each role on the surgical team and data were collected for 24 pre-operative team briefings and 45 subsequent surgical cases. The findings revealed that variations within the team briefing are associated with differences in team-related outcomes, namely NREs, during the subsequent surgical procedures. Synthesis of the data highlighted three important trends which include the need to promote team communication during the briefing, the importance of attendance by all surgical team members, and the value of holding a briefing prior to each surgical procedure. These findings have implications for development of formal briefing protocols.
Pre-operative team briefings are beneficial for team performance in the operating room. Future research will be needed to continue understanding this relationship between how briefings are conducted and team performance to establish more consistent approaches and as well as for the continuing assessment of team briefings and other similar team-related events in the operating room.
ContributorsHildebrand, Emily A (Author) / Branaghan, Russell J (Thesis advisor) / Cooke, Nancy J. (Committee member) / Hallbeck, M. Susan (Committee member) / Bekki, Jennifer M (Committee member) / Blocker, Renaldo C (Committee member) / Arizona State University (Publisher)
Created2014
Description
Driving a vehicle is a complex task that typically requires several physical interactions and mental tasks. Inattentive driving takes a driver’s attention away from the primary task of driving, which can endanger the safety of driver, passenger(s), as well as pedestrians. According to several traffic safety administration organizations, distracted and inattentive driving are the primary causes of vehicle crashes or near crashes. In this research, a novel approach to detect and mitigate various levels of driving distractions is proposed. This novel approach consists of two main phases: i.) Proposing a system to detect various levels of driver distractions (low, medium, and high) using a machine learning techniques. ii.) Mitigating the effects of driver distractions through the integration of the distracted driving detection algorithm and the existing vehicle safety systems. In phase- 1, vehicle data were collected from an advanced driving simulator and a visual based sensor (webcam) for face monitoring. In addition, data were processed using a machine learning algorithm and a head pose analysis package in MATLAB. Then the model was trained and validated to detect different human operator distraction levels. In phase 2, the detected level of distraction, time to collision (TTC), lane position (LP), and steering entropy (SE) were used as an input to feed the vehicle safety controller that provides an appropriate action to maintain and/or mitigate vehicle safety status. The integrated detection algorithm and vehicle safety controller were then prototyped using MATLAB/SIMULINK for validation. A complete vehicle power train model including the driver’s interaction was replicated, and the outcome from the detection algorithm was fed into the vehicle safety controller. The results show that the vehicle safety system controller reacted and mitigated the vehicle safety status-in closed loop real-time fashion. The simulation results show that the proposed approach is efficient, accurate, and adaptable to dynamic changes resulting from the driver, as well as the vehicle system. This novel approach was applied in order to mitigate the impact of visual and cognitive distractions on the driver performance.
ContributorsAlomari, Jamil (Author) / Mayyas, AbdRaouf (Thesis advisor) / Cooke, Nancy J. (Committee member) / Gray, Robert (Committee member) / Arizona State University (Publisher)
Created2017
Description
While various collision warning studies in driving have been conducted, only a handful of studies have investigated the effectiveness of warnings with a distracted driver. Across four experiments, the present study aimed to understand the apparent gap in the literature of distracted drivers and warning effectiveness, specifically by studying various warnings presented to drivers while they were operating a smart phone. Experiment One attempted to understand which smart phone tasks, (text vs image) or (self-paced vs other-paced) are the most distracting to a driver. Experiment Two compared the effectiveness of different smartphone based applications (app’s) for mitigating driver distraction. Experiment Three investigated the effects of informative auditory and tactile warnings which were designed to convey directional information to a distracted driver (moving towards or away). Lastly, Experiment Four extended the research into the area of autonomous driving by investigating the effectiveness of different auditory take-over request signals. Novel to both Experiment Three and Four was that the warnings were delivered from the source of the distraction (i.e., by either the sound triggered at the smart phone location or through a vibration given on the wrist of the hand holding the smart phone). This warning placement was an attempt to break the driver’s attentional focus on their smart phone and understand how to best re-orient the driver in order to improve the driver’s situational awareness (SA). The overall goal was to explore these novel methods of improved SA so drivers may more quickly and appropriately respond to a critical event.
ContributorsMcNabb, Jaimie Christine (Author) / Gray, Dr. Rob (Thesis advisor) / Branaghan, Dr. Russell (Committee member) / Becker, Dr. Vaughn (Committee member) / Arizona State University (Publisher)
Created2017
Description
Interpersonal communications during civil infrastructure systems operation and maintenance (CIS O&M) are processes for CIS O&M participants to exchange critical information. Poor communications that provide misleading information can jeopardize CIS O&M safety and efficiency. Previous studies suggest that communication contexts and features could be indicators of communication errors and relevant CIS O&M risks. However, challenges remain for reliable prediction of communication errors to ensure CIS O&M safety and efficiency. For example, existing studies lack a systematic summarization of risky contexts and features of communication processes for predicting communication errors. Limited studies examined quantitative methods for incorporating expert opinions as constraints for reliable communication error prediction. How to examine mitigation strategies (e.g., adjustments of communication protocols) for reducing communication-related CIS O&M risks is also challenging. The main reason is the lack of causal analysis about how various factors influence the occurrences and impacts of communication errors so that engineers lack the basis for intervention.
This dissertation presents a method that integrates Bayesian Network (BN) modeling and simulation for communication-related risk prediction and mitigation. The proposed method aims at tackling the three challenges mentioned above for ensuring CIS O&M safety and efficiency. The proposed method contains three parts: 1) Communication Data Collection and Error Detection – designing lab experiments for collecting communication data in CIS O&M workflows and using the collected data for identifying risky communication contexts and features; 2) Communication Error Classification and Prediction – encoding expert knowledge as constraints through BN model updating to improve the accuracy of communication error prediction based on given communication contexts and features, and 3) Communication Risk Mitigation – carrying out simulations to adjust communication protocols for reducing communication-related CIS O&M risks.
This dissertation uses two CIS O&M case studies (air traffic control and NPP outages) to validate the proposed method. The results indicate that the proposed method can 1) identify risky communication contexts and features, 2) predict communication errors and CIS O&M risks, and 3) reduce CIS O&M risks triggered by communication errors. The author envisions that the proposed method will shed light on achieving predictive control of interpersonal communications in dynamic and complex CIS O&M.
This dissertation presents a method that integrates Bayesian Network (BN) modeling and simulation for communication-related risk prediction and mitigation. The proposed method aims at tackling the three challenges mentioned above for ensuring CIS O&M safety and efficiency. The proposed method contains three parts: 1) Communication Data Collection and Error Detection – designing lab experiments for collecting communication data in CIS O&M workflows and using the collected data for identifying risky communication contexts and features; 2) Communication Error Classification and Prediction – encoding expert knowledge as constraints through BN model updating to improve the accuracy of communication error prediction based on given communication contexts and features, and 3) Communication Risk Mitigation – carrying out simulations to adjust communication protocols for reducing communication-related CIS O&M risks.
This dissertation uses two CIS O&M case studies (air traffic control and NPP outages) to validate the proposed method. The results indicate that the proposed method can 1) identify risky communication contexts and features, 2) predict communication errors and CIS O&M risks, and 3) reduce CIS O&M risks triggered by communication errors. The author envisions that the proposed method will shed light on achieving predictive control of interpersonal communications in dynamic and complex CIS O&M.
ContributorsSun, Zhe (Author) / Tang, Pingbo (Thesis advisor) / Ayer, Steven K (Committee member) / Cooke, Nancy J. (Committee member) / Liu, Yongming (Committee member) / Arizona State University (Publisher)
Created2020